| NPI | 1548704224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SMITH WHITAKER Sole Proprietor 850-694-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 9161) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |